Uterine Prolapse ni iki? Ibimenyetso, Impamvu, n'Uko Ivurwa

Uterine prolapse ibaho iyo nyababyeyi yawe ihagurutse aho ikwiye kuba maze igatambikira mu kibuno cyawe. Tekereza ko ari nk’aho igikoresho cyayifashe cyoroshye cyane, bigatuma igwa hasi aho kuguma aho ikwiye kuba.

Iki kibazo kibaho ku bagore benshi, cyane cyane nyuma yo kubyara cyangwa uko bagenda bakura. Nubwo bishobora kugaragara nk’iby’ubwoba, uterine prolapse iravurwa kandi ufite uburyo bwinshi bwo kumva umeze neza no gusubirana amahoro.

Uterine Prolapse ni iki?

Uterine prolapse ibaho iyo imitsi n’uduti tugomba gufasha nyababyeyi yawe guhagarara bikomeye cyangwa bikangirika. Nyababyeyi yawe irashobora kumanuka mu kibuno cyawe, kandi mu bihe bikomeye, ishobora no kuva hanze y’umubiri wawe.

Imitsi y’igice cyo hasi cy’umubiri wawe n’uduti duhuza imitsi bikora nk’aho ari urushundura rufasha nyababyeyi yawe, umwijima, n’igice cyo hasi cy’umubiri wawe. Iyo urwo rushundura rworoshye, nyababyeyi yawe ntishobora kuguma aho ikwiye kuba hejuru y’ikibuno cyawe.

Iki kibazo kiba mu buryo butandukanye, kuva ku gito kugeza ku gikomeye. Mu bihe bito, nyababyeyi yawe irashobora kumanuka gato ariko ikaguma mu kibuno cyawe. Mu bihe bikomeye, ishobora kumanuka cyane ku buryo ubona cyangwa ukumva umubiri ugaragara hanze y’ikibuno cyawe.

Ibimenyetso bya Uterine Prolapse ni ibihe?

Ushobora kutamenya ibimenyetso bya uterine prolapse mu ntangiriro. Ariko, uko iki kibazo gikomeza, uzatangira kumva impinduka zitari nziza mu mubiri wawe.

Dore ibimenyetso bisanzwe ushobora kugira:

• Kumva ibintu biremereye bikurura mu gice cyo hasi cy’umubiri wawe
• Kumva nk’aho hari ikintu kigwa mu kibuno cyawe
• Kubona cyangwa kumva umubiri ugaragara hanze y’ikibuno cyawe
• Kumva igitutu cyangwa uburibwe mu gice cyo hasi cy’umubiri wawe
• Kubabara mu mugongo hasi, bikaba biba bikomeye iyo uhagaze
• Kugira ibibazo mu guhagarika imyanda cyangwa kumva udakuyemo byose
• Kugira ibibazo mu kunywa amazi cyangwa indwara z’inzira y’umusarani kenshi
• Kubabara cyangwa kutumva neza mu gihe cy’imibonano mpuzabitsina

Ibi bimenyetso bikunze kuba bikomeye iyo umaze igihe uhagaze cyangwa ugenda. Ushobora kumva uhoranye amahoro iyo uri kuryama, kuko imbaraga z’isi ntizongera gukurura nyababyeyi yawe hasi.

Bamwe mu bagore bagira kandi umusemburo udakunze kugaragara cyangwa amaraso, cyane cyane iyo umubiri ugaragara ukubise ku myenda cyangwa ukaba warakomerekeye.

Ubwoko bwa Uterine Prolapse ni ubuhe?

Abaganga bagabanya uterine prolapse mu byiciro bitandukanye bitewe n’aho nyababyeyi yawe yamanutse. Gusobanukirwa ibi byiciro bifasha umuganga wawe kumenya uburyo bwiza bwo kuvura uko uhagaze.

Icyiciro cya 1 cy’uterine prolapse bivuga ko nyababyeyi yawe yamanutse mu gice cyo hejuru cy’ikibuno cyawe ariko itigeze igera ku ihererekanyabintu ry’ikibuno. Ushobora kutamenya ibimenyetso, cyangwa bishobora kuba bito cyane.

Icyiciro cya 2 cy’uterine prolapse kibaho iyo nyababyeyi yawe igeze ku ihererekanyabintu ry’ikibuno cyawe. Uzatangira kubona ibimenyetso nk’igitutu n’ikintu kigwa.

Icyiciro cya 3 cy’uterine prolapse kibaho iyo nyababyeyi yawe igaragara hanze y’ikibuno cyawe. Ushobora kubona no kumva umubiri, bishobora gutera uburibwe bukomeye no kubangamira ibikorwa bya buri munsi.

Icyiciro cya 4 cy’uterine prolapse, gikomeye kurusha ibindi, bivuga ko nyababyeyi yawe yavuye mu kibuno cyawe. Iki cyiciro gisaba ubufasha bw’abaganga vuba kugira ngo birindwe ingaruka mbi kandi ubone amahoro.

Impamvu ziterwa na Uterine Prolapse ni izihe?

Uterine prolapse ibaho iyo imitsi, uduti, n’uduti dufasha nyababyeyi yawe guhagarara bikomeye cyangwa bikangirika. Urwo rufasha rushobora koroshya buhoro buhoro cyangwa rimwe na rimwe kubera ibintu bimwe na bimwe.

Ibintu byinshi bishobora gutera iki koroshya, kandi kubisobanukirwa bifasha gusobanura impamvu prolapse ibaho:

• Kubyara mu kibuno, cyane cyane iyo umwana ari munini cyangwa kubyara byaramutse byatinze
• Gutwita inshuro nyinshi no kubyara
• Kugira imyaka myinshi no koroshya kw’imiterere y’igice cyo hasi cy’umubiri
• Kugira imyaka y’ubukure no kugabanuka kw’imisemburo ya estrogen
• Inkorora zikomeye ziterwa n’indwara nk’asthme cyangwa kunywa itabi
• Guhagarara ibiremereye cyangwa gukora imbaraga kenshi
• Impatwe zikomeye no gukora imbaraga mu gihe cyo guhagarika imyanda
• Ibintu by’umuryango bigira ingaruka ku gukomera kw’imiterere y’umubiri
• Igisubizo cyakozwe mu gice cyo hasi cy’umubiri

Impamvu isanzwe ni ukubyara, cyane cyane ukubyara mu kibuno. Igikorwa cyo kubyara gishobora gukurura no rimwe na rimwe gusenya imitsi n’uduti dufasha nyababyeyi yawe.

Impinduka z’imisemburo mu gihe cy’imyaka y’ubukure zigira uruhare runini. Uko imisemburo ya estrogen igabanuka, imiterere y’igice cyo hasi cy’umubiri itakara ubushobozi bwo gukomera, bituma prolapse ibaho.

Ni ryari ukwiye kujya kwa muganga kubera Uterine Prolapse?

Ukwiye kuvugana n’umuganga wawe niba ubona ibimenyetso bya uterine prolapse, nubwo bigaragara nk’ibito. Kumenya hakiri kare bifasha kwirinda ko iki kibazo gikomeza kandi ukabona uburyo bwiza bwo kuvurwa.

Shaka ubufasha bw’abaganga vuba niba ufite ibimenyetso bikomeye nk’ubona umubiri ugaragara hanze y’ikibuno cyawe, ububabare bukomeye, cyangwa kugira ibibazo mu kunywa amazi cyangwa guhagarika imyanda. Ibi bimenyetso bigaragaza prolapse ikomeye isaba ubufasha bw’abaganga vuba.

Ukwiye guhamagara umuganga wawe niba ufite ibimenyetso bishya nk’amaraso adakunze kugaragara, umusemburo ufite impumuro mbi, cyangwa ibimenyetso by’indwara nk’umuriro. Ibi bishobora kugaragaza ingaruka mbi zisaba ubufasha bw’abaganga vuba.

Ntugatege amatwi gusaba ubufasha niba ibimenyetso byawe biguhangayikishije mu bikorwa bya buri munsi, akazi, cyangwa imibanire. Hari uburyo bwiza bwo kuvura, kandi ntugomba kubana n’ububabare cyangwa ipfunwe.

Ibyago byo kugira Uterine Prolapse ni ibihe?

Ibintu bimwe na bimwe byongera amahirwe yo kugira uterine prolapse mu buzima bwawe. Nubwo udashobora kugenzura ibyago byose, kubisobanukirwa bigufasha gufata ibyemezo byiza ku buzima bwawe.

Imyaka ni kimwe mu bintu by’ingenzi byongera ibyago, kuko imiterere y’igice cyo hasi cy’umubiri iroshye uko imyaka igenda yiyongera. Abagore bafite imyaka irenga 50 bafite amahirwe menshi yo kugira prolapse, cyane cyane nyuma y’imyaka y’ubukure iyo imisemburo ya estrogen igabanuka.

Dore ibyago by’ingenzi bishobora kugufata:

• Kubyara, cyane cyane inshuro nyinshi cyangwa kubyara abana bakuze
• Kugira imyaka irenga 50 no kuba umaze kuba mu myaka y’ubukure
• Amateka y’umuryango afite prolapse y’igice cyo hasi cy’umubiri
• Umuntu ukabana, byongera igitutu ku bice by’umubiri byo hasi
• Inkorora zikomeye cyangwa indwara z’ubuhumekero
• Imishinga isaba guhagarara ibiremereye kenshi
• Impatwe zikomeye cyangwa gukora imbaraga
• Igisubizo cyakozwe mu gice cyo hasi cy’umubiri
• Indwara z’imiterere y’umubiri

Nubwo kugira ibyago ntibivuze ko uzagira prolapse, byongera amahirwe yawe. Inkuru nziza ni uko ibyago byinshi bishobora gufatwaho ingamba binyuze mu mpinduka mu mibereho n’uburyo bwo kwirinda.

Bamwe mu bagore bafite ibyago byinshi ntibagira prolapse, abandi bafite ibyago bike barayigira. Imiterere yawe n’imiterere yawe by’umuntu ku giti cye bigira uruhare mu kumenya ibyago byawe.

Ingaruka mbi zishoboka za Uterine Prolapse ni izihe?

Uruhare runini rwa uterine prolapse ntabwo rutera ibibazo bikomeye by’ubuzima, ariko hari ingaruka mbi zishobora kubaho niba iki kibazo kitavuwe cyangwa kikaba gikomeye. Gusobanukirwa ibi bishoboka bigufasha kumenya igihe ukwiye gushaka ubufasha bw’abaganga.

Ingaruka mbi zisanzwe zirebana n’imikorere y’umwijima n’igice cyo hasi cy’umubiri. Iyo nyababyeyi yawe igeze hasi, ishobora gukanda kuri biriya bice ikabangamira imikorere yabyo.

Dore ingaruka mbi ushobora kugira:

• Ibibazo byo kunywa amazi birimo indwara zikomeye no kugira ibibazo mu gukuramo amazi yose
• Ibibazo mu guhagarika imyanda n’impatwe zikomeye
• Ibinyoro n’amaraso y’umubiri ugaragara ukubise ku myenda
• Ibyago byiyongereye byo kugira indwara mu kibuno no mu nzira y’umusarani
• Ibibazo by’imibonano mpuzabitsina n’ububabare mu gihe cy’imibonano mpuzabitsina
• Rectal prolapse, aho igice cy’igice cyo hasi cy’umubiri kigwa hasi
• Kudashaka kunywa amazi, bisaba ubufasha bw’abaganga vuba

Mu bihe bitoroshye, prolapse ikomeye ishobora gutera ibibazo by’impyiko niba amazi adashobora kuva. Iyi ngaruka mbi ikomeye isaba ubufasha bw’abaganga vuba kugira ngo birindwe ibibazo birambye.

Ingaruka zo mu mutwe ntizikwiye kwirengagizwa. Abagore benshi bumva batishimye, bafite ubwoba, cyangwa bababaye kubera ibimenyetso byabo, bishobora kugira ingaruka ku mibereho yabo n’imibanire yabo.

Uterine Prolapse ishobora kwirindwa gute?

Nubwo udashobora kwirinda uterine prolapse yose, cyane cyane iyiterwa no kubyara no kugira imyaka myinshi, ushobora gufata ingamba zo kugabanya ibyago byawe no kugumana imitsi y’igice cyo hasi cy’umubiri yawe ikomeye.

Kugira ibiro bikwiye ni kimwe mu bintu byiza byo kwirinda. Ibiro byinshi byongera igitutu ku bice by’umubiri byo hasi, byongera ibyago bya prolapse.

Dore uburyo bwemewe bwo kwirinda uterine prolapse:

• Kora imyitozo ngororamubiri y’igice cyo hasi cy’umubiri (Kegels) kugira ngo ukomeze imitsi ifasha
• Kugira ibiro bikwiye binyuze mu mirire myiza n’imyitozo ngororamubiri
• Kwima guhagarara ibiremereye, cyangwa gukoresha uburyo bwiza bwo guhagarara ibyo bintu iyo bibaye ngombwa
• Kuvura inkorora zikomeye n’indwara z’ubuhumekero vuba
• Kwima no kuvura impatwe binyuze mu biribwa birimo amafibe ahagije n’amazi ahagije
• Kureka kunywa itabi, kuko bishobora gutera inkorora zikomeye
• Gutekereza ku kuvurwa kw’imisemburo mu gihe cy’imyaka y’ubukure niba bikwiye

Immyitozo ya Kegel ikwiye kwitabwaho cyane kuko ikomeza imitsi ifasha nyababyeyi yawe. Iyi myitozo ihuza gukomera no kuruhuka imitsi y’igice cyo hasi cy’umubiri, nk’aho uhagarika kunywa amazi.

Niba utwite cyangwa uteganya gutwita, ubanze uganire n’umuganga wawe ku buryo bwo kubyara. Nubwo kubyara mu kibuno ari ibintu bisanzwe kandi byiza, hari igihe kubyara hakoreshejwe igitsina bishobora kuba byiza ku buzima bwawe.

Uterine Prolapse imenyekanwa gute?

Umuganga wawe ashobora kumenya uterine prolapse binyuze mu isuzuma ry’umubiri n’ibiganiro ku bimenyetso byawe. Igikorwa cyo kumenya iki kibazo ni cyoroshye kandi gifasha kumenya uko iki kibazo gikomeye.

Umuganga wawe azatangira akubaza ibibazo ku bimenyetso byawe, amateka y’ubuzima bwawe, n’ibintu byose bishobora gutera prolapse. Azashaka kumenya ibyerekeye gutwita kwawe, kubyara, n’ibikorwa byose bishobora gukora imbaraga mu gice cyo hasi cy’umubiri wawe.

Mu gihe cyo gusuzuma igice cyo hasi cy’umubiri, umuganga wawe azareba ibimenyetso bya prolapse areba imbere y’ikibuno cyawe n’umuyoboro w’ikibuno. Ashobora kukubaza gukora imbaraga cyangwa inkorora kugira ngo arebe uko ibice by’umubiri byo hasi bigenda.

Umuganga wawe ashobora kandi gukora ibizamini by’inyongera kugira ngo abone ishusho yuzuye y’uko uhagaze. Ibi bishobora kuba harimo ibizamini by’amazi yo kureba indwara, ibizamini byo gukora kw’umwijima niba ufite ibibazo byo kunywa amazi, cyangwa isuzuma ry’amashusho mu bihe bikomeye.

Mu bihe bimwe na bimwe, umuganga wawe ashobora kukwerekeza ku muhanga mu kuvura indwara z’igice cyo hasi cy’umubiri. Aba baganga bafite ubumenyi bwihariye mu ndwara z’igice cyo hasi cy’umubiri kandi bashobora gutanga ubufasha bwihariye mu bihe bikomeye.

Uburyo bwo kuvura Uterine Prolapse ni ubuhe?

Uburyo bwo kuvura uterine prolapse biterwa n’uburemere bw’ibimenyetso byawe n’uko iki kibazo kigira ingaruka ku mibereho yawe ya buri munsi. Ufite uburyo bwinshi bwiza, kuva ku buryo bworoshye kugeza ku kubaga.

Mu bihe bito, umuganga wawe ashobora kugutekereza gutangira kuvurwa bitakoresheje kubaga. Ibi bintu bishobora kuguha amahoro kandi bikarinda ko iki kibazo gikomeza.

Dore uburyo nyamukuru bwo kuvura buhari:

• Immyitozo ngororamubiri y’igice cyo hasi cy’umubiri n’ubuvuzi bw’umubiri kugira ngo ukomeze imitsi ifasha
• Ibikoresho byo gushyigikira nyababyeyi yawe mu kibuno cyawe
• Kuvurwa kw’imisemburo kugira ngo ukomeze imiterere y’umubiri
• Impinduka mu mibereho harimo kugabanya ibiro no kwima guhagarara ibiremereye
• Kubaga kugira ngo ugarure imiterere n’imikorere isanzwe
• Kubaga nyababyeyi mu bihe bikomeye aho ubundi buryo butabashije kugira icyo bukora

Ibikoresho byo gushyigikira nyababyeyi yawe bikora nk’aho ari ishati y’imbere y’imbere ya nyababyeyi yawe. Bifite imyambarire itandukanye, kandi umuganga wawe azakugurira ibereye imiterere yawe.

Kubaga bishobora kugutekerezwamo niba uburyo bworoshye butabashije kugira icyo bukora cyangwa niba prolapse yawe ari ikomeye kandi igira ingaruka ku mibereho yawe.

Uburyo bwiza bwo kuvura bwawe biterwa n’imyaka yawe, ubuzima bwawe muri rusange, imibonano mpuzabitsina, n’ibyo ukunda. Umuganga wawe azakorana nawe kugira ngo atore uburyo buhuye n’ibyo ukeneye n’imibereho yawe.

Uko wakwitaho mu rugo mu gihe ufite Uterine Prolapse

Hari uburyo bwinshi bwo kwivura mu rugo bushobora gufasha gucunga ibimenyetso byawe no gushoboka ko prolapse itazamuka. Ibi bintu bikora neza iyo bifatanije n’ubuvuzi bw’abaganga.

Immyitozo ngororamubiri y’igice cyo hasi cy’umubiri, izwi kandi nka Kegel exercises, ni ishingiro ry’uburyo bwo kwivura mu rugo. Iyi myitozo ikomeza imitsi ifasha nyababyeyi yawe kandi ishobora kunoza ibimenyetso byawe mu gihe.

Kugira ngo ukore imyitozo ya Kegel neza, komera imitsi y’igice cyo hasi cy’umubiri nk’aho uhagarika kunywa amazi, komeza ibyo bikorwa igihe cy’amasegonda atatu, hanyuma kuruhuka igihe cy’amasegonda atatu. Subiramo ibi inshuro 10-15, inshuro eshatu ku munsi.

Impinduka mu mibereho zishobora kandi kugira uruhare runini mu kumva umeze neza. Kwima guhagarara ibiremereye, kugira imyifatire myiza, no gukoresha uburyo bwiza bwo guhagarara ibintu bishobora kugira uruhare mu kwirinda ko iki kibazo gikomeza.

Kuvura impatwe ni ingenzi kugira ngo uhorane amahoro no kwirinda gukora imbaraga mu gice cyo hasi cy’umubiri. Funga ibiryo birimo amafibe ahagije, nywa amazi ahagije, kandi ugire akamenyero ko kujya mu bwiherero.

Niba ufite ibiro byinshi, kugabanya ibiro buhoro buhoro bishobora kugabanya igitutu ku bice by’umubiri byo hasi. No kugabanya ibiro 5-10 bishobora kugira uruhare mu ibimenyetso byawe.

Uko wakwitegura kujya kwa muganga

Kwitoza kujya kwa muganga bigufasha kubona ibyiza byinshi mu ruzinduko rwawe no kubona ubufasha bwiza. Gufata umwanya wo gutegura ibitekerezo byawe n’amakuru mbere bituma inama iba nziza.

Tangira wandike ibimenyetso byawe byose, harimo igihe byatangiye n’ibyabyongera cyangwa ibyabigabanya. Jya ugaragaza uko ibimenyetso byawe bigira ingaruka ku bikorwa byawe bya buri munsi, akazi, n’imibanire.

Zana urutonde rwuzuye rw’imiti yawe, harimo imiti yo mu maduka n’ibindi. Tegura kandi amakuru yerekeye amateka y’ubuzima bwawe, cyane cyane gutwita, kubaga, n’amateka y’umuryango afite ibibazo by’igice cyo hasi cy’umubiri.

Andika ibibazo ushaka kubabaza umuganga wawe. Tekereza kubabaza ibyerekeye uburyo bwo kuvura, icyo witeze mu buryo butandukanye, n’uko wakwirinda ko iki kibazo gikomeza.

Ntukumve ipfunwe kuvugana ku bintu by’ibanga. Umuganga wawe amaze kubona izi ndwara inshuro nyinshi kandi akeneye amakuru yuzuye kugira ngo akwiteho neza.

Tegereza kuzana inshuti cyangwa umuryango wawe kugira ngo bagufashe, cyane cyane niba uhangayikishijwe n’uruzinduko. Bashobora kandi kugufasha kwibuka amakuru yavuzwe mu gihe cy’inama.

Icyo ukwiye kumenya cyane kuri Uterine Prolapse

Uterine prolapse ni ikibazo gisanzwe kibabaza abagore benshi, cyane cyane nyuma yo kubyara no uko bagenda bakura. Nubwo bishobora kuba bibi kandi bikahangayikisha, ni ingenzi kumenya ko hari uburyo bwiza bwo kuvura kandi udatakagarira mu mucyo.

Kumenya hakiri kare no kuvura bikunze gutera ibyiza, ntutinye gushaka ubufasha bw’abaganga niba ubona ibimenyetso. Abagore benshi babona amahoro binyuze mu buryo bworoshye bwo kuvura nk’imyitozo ngororamubiri y’igice cyo hasi cy’umubiri n’impinduka mu mibereho.

Wibuke ko iki kibazo kitakugiraho ingaruka cyangwa kitagira icyo gikora ku hazaza hawe. Ufite ubufasha bwiza n’uburyo bwiza bwo kuvura, abagore benshi bashobora gusubira mu bikorwa byabo bisanzwe kandi bagira imibereho myiza.

Intambwe y’ingenzi ni ukugana umuganga wawe. Ashobora gusuzuma uko uhagaze akakorana nawe kugira ngo mugire gahunda yo kuvura ihuye n’ibyo ukeneye n’imibereho yawe.

Ibibazo Bikunze Kubazwa Kuri Uterine Prolapse

Uterine prolapse ishobora kuba ku bagore batabyaye?

Yego, uterine prolapse ishobora kuba ku bagore batabyaye. Nubwo kubyara ari cyo kintu gisanzwe gitera, ibindi bintu nk’imyaka, imiterere y’umuryango, inkorora zikomeye, guhagarara ibiremereye, cyangwa indwara z’imiterere y’umubiri bishobora kandi gutera prolapse. Ariko, si ikintu gisanzwe ku bagore batabyaye.

Ubuzima bwanjye bw’imibonano mpuzabitsina buzagira ingaruka kuri uterine prolapse?

Uterine prolapse ishobora kugira ingaruka ku mibonano mpuzabitsina, ariko kuvura bikunze kugarura imikorere isanzwe. Bamwe mu bagore bagira uburibwe mu gihe cy’imibonano mpuzabitsina, abandi bumva batishimye kubera ibimenyetso byabo. Inkuru nziza ni uko uburyo bwinshi bwo kuvura, harimo ibikoresho byo gushyigikira nyababyeyi yawe n’ubuganga, bishobora kunoza cyane imikorere y’imibonano mpuzabitsina n’amahoro.

Uterine prolapse ishobora gukira yonyine?

Uterine prolapse ntishobora gukira idavuwe kandi ishobora gukomeza gukura mu gihe. Ariko, prolapse yo mu ntangiriro ishobora gufatwaho ingamba binyuze mu myitozo ngororamubiri y’igice cyo hasi cy’umubiri n’impinduka mu mibereho, bishobora kwirinda ko ikomeza no kunoza ibimenyetso. Ni ingenzi gukorana n’umuganga wawe aho kwiringira ko izakira yonyine.

Kubaga kuri uterine prolapse buhora ari ngombwa?

Kubaga ntibihora ari ngombwa kuri uterine prolapse. Abagore benshi babona amahoro binyuze mu buryo bworoshye bwo kuvura nk’imyitozo ngororamubiri y’igice cyo hasi cy’umubiri, ibikoresho byo gushyigikira nyababyeyi yawe, cyangwa impinduka mu mibereho. Kubaga bikunze gutekerezwaho iyo uburyo bworoshye butabashije kugira icyo bukora cyangwa iyo prolapse ari ikomeye kandi igira ingaruka ku mibereho.

Igihe cyo gukira nyuma yo kubagwa kuri prolapse kirambuye iki?

Igihe cyo gukira gitandukanye bitewe n’uburyo bw’ubuganga bukozwe, ariko abagore benshi bashobora gusubira mu bikorwa byabo bisanzwe mu gihe cy’ibyumweru 6-8. Umuganga wawe azakugira inama yihariye ku birebana no kwima guhagarara ibiremereye, imibonano mpuzabitsina, n’imyitozo ngororamubiri. Gukira neza n’ibyiza byinshi byo kubagwa bikunze kuba nyuma y’amezi 3-6 nyuma y’ubuganga.